﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Layout.master" AutoEventWireup="true"
    CodeFile="payment.aspx.cs" Inherits="payment" %>

<asp:Content ID="Content1" ContentPlaceHolderID="head" runat="Server">
</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="MainContent" runat="Server">
    <div class="product">        
        <div class="box" id="deal-buy-box">
            <div class="box-top">
            </div>
            <div class="box-content">
                
                    <!-- <div class="field username">
                        <label for="signup-username">Tên đăng nhập</label>
                        <input type="text" class="f-input" size="30" name="username" id="signup-username" require="true" datatype="limit|ajax" min="2" max="16" vname="signupname" url="/ajax/validator.php" msg="|" maxLength="16" /><span class="hint"> 4-16 ký tự</span>

                    </div>-->
                    <div class="wholetip clear">
                        <h3>
                            Thông tin giao hàng</h3>
                    </div>
                    <div class="field">
                        <label>
                            Họ tên</label>
                        <input type="text" size="20" name="realname" id="settings-realname" class="f-input"
                            require="true" datatype="require">
                    </div>
                    <div class="field">
                        <label id="enter-address-city-label" for="signup-city">
                            Quận/Huyện</label>
                        <!--<select name="city_id" id="city_id" class="f-city"><option value="">---Chọn---</option><option value='437' selected>TP Hồ Chí Minh</option><option value='440' >Hà Nội</option></select>-->
                        <select name="dist_id" id="dist_id" class="f-input" require="true" datatype="require">
                            <option value="">---Chọn---</option>
                            <option value="500" class="437">Bình Tân</option>
                            <option value="501" class="437">Bình Thạnh</option>
                            <option value="492" class="437">Gò vấp</option>
                            <option value="491" class="437">Phú Nhuận</option>
                            <option value="490" class="437">Quận 1</option>
                            <option value="511" class="437">Quận 10</option>
                            <option value="512" class="437">Quận 11</option>
                            <option value="502" class="437">Quận 12</option>
                            <option value="503" class="437">Quận 2</option>
                            <option value="504" class="437">Quận 3</option>
                            <option value="505" class="437">Quận 4</option>
                            <option value="506" class="437">Quận 5</option>
                            <option value="507" class="437">Quận 6</option>
                            <option value="508" class="437">Quận 7</option>
                            <option value="509" class="437">Quận 8</option>
                            <option value="493" class="437">Tân Bình</option>
                            <option value="513" class="437">Tân Phú</option>
                        </select></div>
               
                    <div class="field">
                        <label>
                            Số nhà</label>
                        <input type="text" name="house_number" autocomplete="off" id="settings-house-number"
                            class="f-input" style="width: 100px" require="true" value="" datatype="require"></div>
                    <div class="field">
                        <label>
                            Tên đường</label><input type="text" name="street_name" class="f-input" autocomplete="off"
                                onfocus="searchSuggest()" id="settings-street-name" require="true" value="" datatype="require">
                        <!--<span class="hint">Vui lòng ghi rõ ràng địa chỉ (số nhà, tên đường)</span>-->
                    </div>
                    <div class="field">
                        <label>
                            Phòng-lầu-tòa nhà</label>
                        <input type="text" name="note_address" id="settings-note-address" class="f-input">
                        <span class="hint">Ví dụ: P907, Lau 9, Cao Oc Diamond Plaza</span>
                    </div>
                    <div class="field">
                        <label for="signup-password-confirm">
                            Di động</label>
                        <input type="text" class="f-input number" size="20" name="mobile" id="signup-mobile"
                            require="true" datatype="mobile"><span class="hint">Số ĐTDĐ là rất quan trọng dùng để
                                liên lạc khi giao hàng.<!--mobile number is for receiving Coupon SMS--></span>
                    </div>
                    <div class="act">
                        <input type="submit" value="Đăng ký" name="commit" id="signup-submit" class="formbutton">
                    </div>
                    </form>
                </div>
            </div>
            <div class="box-bottom">
            </div>
        </div>
    </div>
</asp:Content>
